Nursing needs to lead the way in the design and implementation of policies that allow for adequate time, proper oral care supplies, ease of access to supplies, clear procedures, and outcome monitoring ensuring that patients are protected from NV-HAP.

1. To examine the activity of single units in the lateral striatum of the awake rat with respect to sensorimotor function, 788 units were recorded during locomotion and passive testing. The focus of this report is on 138 units (18%) that fired in relation to sensorimotor activity of a single limb. The remaining units were related to other body parts (16%), to general body movement (38%), or were unresponsive (28%). 2. Firing rates of limb-related units were near zero during resting behavior but increased markedly during treadmill locomotion. Each of the 138 units exhibited a rhythmic pattern of discharge in phase with the locomotor step cycle. Passive testing revealed that 86/97 units tested (89%) responded to passive manipulation of a single limb, exhibiting increased firing rates. Of these, 77 (90%) were related to contralateral and 9 (10%) to ipsilateral limbs. Sixty-one units (71%) were related to a forelimb and 25 (29%) to a hindlimb. Of the 86 units responding to passive manipulation. 34/48 units tested (71%) also responded to cutaneous stimulation of the same limb but no other part of the body. 3. To study in greater detail the rhythmic unit discharges in phase with the locomotor step cycle, computer-synchronized videotape recordings were used to generate perimovement time histograms constructed around discrete locomotor movements of each limb (n = 17 units). Activity of each unit was shown to be restricted to a specific portion of a particular limb's step cycle. The majority of units discharged throughout (8 units) or during a portion of (3 units) the swing phase, whereas other units fired during a portion of stance (3 units), footfall (2 units), or foot off (1 unit). 1. The specificity of unit firing was further demonstrated by the finding that rhythmic discharges, related to discrete locomotor limb movements in the forward direction, were completely absent during spontaneous deviations such as backward or disrupted locomotion. 5. Units related to limb movement were located in the far lateral, especially the dorsolateral, subregion of the striatum. This subregion extend rostrocaudally from A-P +1.6 to -1.0 mm relative to bregma. No clear somatotopic organization was observed, but this issue requires further study. 6. These results show that functional representations of individual limbs can be demonstrated in the lateral striatum of the rat, within a subregion containing terminals of projections from somatic sensorimotor cortex.(ABSTRACT TRUNCATED AT 400 WORDS)

Adherence is defined as persistence in the practice and maintenance of desired health behaviors and is the result of active participation and agreement. Adherence is dependent on the development of a concordant relationship and its measurement should be specific utilizing the correct tools. Special attention should be paid to shared decision-making between patient and healthcare provider.

This review of the literature addresses doctoral persistence and the challenges faced by doctoral nursing students. Themes found in this review included periods of transition, parenthood and outside demands, delays and "marinating" in the data, and positive aspects. These issues need to be addressed in order to increase doctoral student retention and reverse the nursing shortage.

Veterans reported improvement in their overall health and well-being, improved self-management skills, and satisfaction with the SMA format. Veterans reported feeling empowered to improve their health and described a deep connection with their peers and group leaders. The connection they experienced with other veterans in the SMAs was similar to the close-knit relationships held with other members of their military unit.